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- W4233103767 abstract "La myosite infectieuse est une entité rare secondaire à des bactéries, des virus, des parasites ou des champignons. La symptomatologie de douleur/faiblesse musculaire localisée ou diffuse est commune à tous les types de myosites. Le diagnostic étiologique est orienté par la présentation clinique : fièvre et altération de l’état général pour les atteintes focalisées bactériennes, atteinte souvent diffuse, associée à un syndrome pseudo-grippal ou à des troubles digestifs pour les causes virales, hyperéosinophilie au décours d’un voyage sous les tropiques pour les étiologies parasitaires. Enfin, le terrain d’immunodépression est classique pour les origines fungiques. La rhabdomyolyse et l’élévation de la CRP sont fréquentes. L’imagerie (scanner/IRM) peut être parfois utile pour préciser les muscles atteints. L’agent pathogène est mis en évidence de manière directe (hémocultures, biopsie musculaire ou autre prélèvement selon la symptomatologie) ou de manière indirecte par la sérologie. Le traitement est propre à chaque pathogène. Le recours à la chirurgie ou au drainage guidé par l’imagerie est souvent nécessaire pour les étiologies bactériennes. Infectious myositis is a rare condition that can be caused by bacteria, viruses, parasites or fungi. Muscle pain or weakness are symptoms shared by all type of myositis. Diagnosis is made on clinical presentation: fever and poor general state is found in bacterial myositis, diffuse muscle pain with flu-like symptoms in viral causes, eosinophilia and a tropical travel history can be related to parasitic etiology, and immunocompromising condition suggests fungal infection. Rhabdomyolysis, leukocytosis and elevated C-reactive protein are common. Imaging (computed tomography or magnetic resonance imaging) can be useful to detect which muscle is affected. The causative organism can be identified on blood cultures, skeletal muscle biopsy, serology or any other pathogen specific test. Treatment depends on the causative organism. Open surgical or imaging-guided drainage is usually necessary in bacterial myositis." @default.
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- W4233103767 date "2020-04-01" @default.
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- W4233103767 title "Myosites infectieuses" @default.
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- W4233103767 doi "https://doi.org/10.1016/j.revmed.2020.02.006" @default.
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